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General NPI Number Information
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NPI Number | 1396263737
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Entity Type | Organization
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Legal Business Name | ONEIDA MEDICAL PRACTICE, PC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 125 FIELDS DR ATTN: VASCULAR SPECIALISTS OF ONEIDA
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City | ONEIDA
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State | NY
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Zip | 13421-2658
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Country | US
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Telephone | 315-361-2206
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Fax | 315-363-1625
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Provider Business Mailing Address
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Address Line | 125 FIELDS DR ATTN: VASCULAR SPECIALISTS OF ONEIDA
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City | ONEIDA
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State | NY
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Zip | 13421-2658
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Country | US
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Telephone | 315-361-2206
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Fax | 315-363-1625
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | DR. HARRY CAPONE
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Credential | MD
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Telephone | 315-697-2033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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